Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Rae Hernandez, LCSW

Individual provider Clinical Social Worker · NPI 1306308036

Angela Rae Hernandez, LCSW is a Clinical Social Worker in Provo, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah and Wisconsin.

Licensed in
UT, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Tri Park Way, Appleton, WI 54914-6430 — (920) 831-0070

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 13069232-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8732-123 (WI)

Record details

NPI number1306308036
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 2, 2019
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

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